Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Our Customer Success and Growth Organization is at the heart of our member, patient, and customer experiences as we have a unique focus on defining meaningful moments for those we serve. Our north star is creating heartfelt, personalized moments by listening to feedback to remove existing obstacles and simplify enterprise experiences. You are joining a team that cares for the well-being of our colleagues by working together in a supportive, collaborative and agile environment. 

Position Summary
Manages a team of individuals responsible for providing accurate and timely resolutions to complaints filed by the Department of Insurance regulators. Acts as point of contact for assigned Regulatory Agencies. Owns responsibility for reviewing and approving benefit contract language development, regulatory submissions, and correspondence, as well as compliance activities as they relate to company products and programs, entity licensing, product development and implementation, including Life, Disability and Accident and Health insurance, Pension, Reinsurance, and Third-Party Administrator and Utilization Review licensing.

Required Qualifications

• 7 years’ experience in a regulatory and compliance environment with the understanding of State and Federal Regulations relating to insurance.  Communicate proactive notifications to key business areas with regards to critical regulatory requirements and subsequent needed changes and revisions.
• 3 years of leadership experience providing direction and team strategies to ensure departmental compliance with policies and protocols impacting the business, subsequently providing direction to ensure ongoing team compliance.

Preferred Qualifications

• Highly proficient skills in execution and delivery (planning, delivering, and supporting)
• Highly proficient at collaboration and teamwork to be able to oversee and ensure complaint responses are in compliance with Aetna and State guidelines and regulations.
• Mastery of problem solving and decision-making skills
• Mastery of growth mindset (agility and developing yourself and others) skills
• Experience working with Regulators or regulations.
• Proficiency managing sensitive and escalated complaints.
• Ability to manage multiple priorities to meet critical deadlines.
   

Education

High School Diploma

Bachelor's degree preferred/specialized training/relevant professional qualification.

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.40

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 09/27/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.